MoodCheck

During times when I am not using drugs or alcohol:

I notice that my mood and/or energy levels shift drastically from time to time.

At times, I am moody and/or energy level is very low, and at other times, and very high.

During my "low" phases, I often feel a lack of energy, a need to stay in bed or get extra sleep, and little or no motivation to do things I need to do.

I often put on weight during these periods.

During my low phases, I often feel "blue," sad all the time, or depressed.

Sometimes, during the low phases, I feel helpless or even suicidal.

During the low phases, my ability to function at work or socially is impaired.

Typically, the low phases last for a few weeks, but sometimes they last only a few days.

I also experience a period of "normal" mood in between mood swings, during which my mood and energy level feels "right" and my ability to function is not disturbed.

I then notice a marked shift or "switch" in the way I feel.

My energy increases above what is normal for me, and I often get many things done I would not ordinarily be able to do.

Sometimes during those "high" periods, I feel as if I have too much energy or feel "hyper".

During these high periods, I may feel irritable, "on edge," or aggressive.

During the high periods, I may take on too many activities at once.

During the high periods, I may spend money in ways that cause me trouble.

I may be more talkative, outgoing or sexual during these periods.

Sometimes, my behavior during the high periods seems strange or annoying to others.

Sometimes, I get into difficulty with co-workers or police during these high periods.

Sometimes, I increase my alcohol or nonprescription drug use during the high periods.

Total

Not at all
   (0)   

A little
(2)

Fairly well
(4)

Very well
(6)

How old were you when you first were depressed?  
                           (circle one)

As long as I can remember

Grade school

Middle school

High school

18-24

> 24

How many episodes of depression have you had?

One

2-4

5-6

>10

Have antidepressants ever caused: (circle all that apply)

Excessive
energy

Severe insomnia

Agitation

Irritability

Racing thoughts

Talking a lot

How many antidepressants have you tried, if any?

None

1

2

3

>3

Has an antidepressant you took worked at first, then stopped working? 

No

Yes

Do your episodes start gradually, or suddenly?

Gradually

Can’t say

Suddenly

Do your episodes stop gradually, or suddenly?

Gradually

Can’t say

Suddenly

Did you have an episode after giving birth?

No

Within 6 months

Within 2 months

Within 2 weeks

Are your moods much different at different times of year? 

No effect of time of year

Yes, seasonal shifts

When you are depressed, do you sleep differently?

No

Sleep less

Sleep more

When you are depressed, do you eat differently?

No

Eat less

Eat more

When you are depressed, what happens to your energy?

Nothing

It varies a lot

Very low

Extremely low, can hardly move

In episodes, have you lost contact with reality? (delusions, voices, people thought you were odd)

No

Yes